C & R Home for the Elderly
What is an RCFE with Memory Care?
A Residential Care Facility for the Elderly (RCFE) is a non-medical residential care home licensed by California CDSS under Health & Safety Code §1560. Residents receive help with daily living activities such as bathing, dressing, and medication management. An RCFE with a Memory Care designation is additionally required by California Title 22 (§87705 and §87706) to provide specialized staff training in dementia care, individualized care plans for residents with cognitive impairment, and appropriate supervision protocols — requirements that go beyond a standard RCFE license.
34819 Clover Street · Union City, 94587
Record last updated April 20, 2026.
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Quick facts
Memory care context
C & R Home for the Elderly is a California-licensed Residential Care Facility for the Elderly (RCFE) designated for memory care, with capacity for 6 residents. California Title 22 requires facilities serving dementia residents to meet specific standards under §87705 and §87706, covering individualized care plans, staff training in dementia care, and appropriate supervision. CDSS has cited this facility twice under these dementia-care regulations. State records show 5 inspections with 18 total deficiencies — 8 Type A citations (actual harm to residents) and 10 Type B citations (potential for harm). One complaint is also on file. The most recent inspection occurred on January 7, 2025. The 8 Type A deficiencies represent a significant compliance concern warranting direct inquiry during any facility visit.
Questions to ask on your tour
Based on C & R Home for the Elderly's state inspection record.
State records show 8 Type A deficiencies, meaning actual harm to residents occurred — can you describe each incident and what corrective actions were implemented?
The facility has been cited twice under §87705 or §87706 for dementia-care requirements — what were those specific violations, and how has staff training or supervision changed as a result?
One complaint is on file with CDSS — what was the nature of that complaint, and was it substantiated?
With 6 licensed beds and dementia-designated care, how many staff members are on duty during overnight hours, and what is their specific training in memory care?
The most recent inspection was January 7, 2025 — were any deficiencies identified during that visit, and what is the current status of any required corrective action plans?
State records
California CDSS · Community Care Licensing Division- License number
- 015600507
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- San Miguel, Precilla & Romeo
Inspections & citations
5
reports on file
18
total deficiencies
8
Type A (actual harm)
2
dementia-care citations
InspectionJanuary 7, 2025Type A3 deficiencies
Inspector notes
On 01/29/2026 at 8:30AM, Licensing Program Analyst (LPA) Andrew Christy arrived unannounced to conduct the 1-Year Annual Required inspection. LPA met with caregiver, Nannette Javier, and explained the purpose of the visit. Administrator Precilla San Miguel could not be available and stated Nannette has permission to sign any documents. The facility currently houses four (4) residents with a max capacity of six (6) residents. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. No bodies of water were observed. A comfortable indoor temperature is maintained at 69.0 degrees Fahrenheit. The hot water temperature in the residents’ shared bathroom was measured at 138.1 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 12/30/2025. At 9:45AM, LPA reviewed four (4) resident files and five (5) staff files. The emergency disaster plan was last reviewed 01/04/2026. Quarterly emergency drills were last conducted 12/01/2025. A review of resident medications and the Medication Administration Record (MAR) found no outstanding errors. Continued on LIC809C..... 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Continued from LIC809..... The following deficiencies were cited during the inspection: At 9:30AM, the hot water in the private bathroom of one resident measured 138.1 degrees Fahrenheit. It then measured 126.5 degrees Fahrenheit in the shared residents' bathroom. At 8:45AM, an unlocked cabinet in the kitchen found dish detergent. At 9:30AM, an unlocked cabinet in a resident's private bathroom found bleach wipes. At 10:15AM during file review, it was noted that none of the residents had updated Appraisal Needs And Services forms. Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. A copy of this report, along with Appeal Rights, was made available to the caregiver.
(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degre…
Based on observation, the licensee did not comply with the section cited above as the hot water temperature in both bathrooms measured to 126.5 and 138.1 degrees Fahrenheit, which poses an immediate health, safety, or personal rights risk to persons in care. POC Due Date: 01/30/2026 Plan of Correction 1 2 3 4 On or before plan of correction due date, licensee will send picture or video proof of a lowered max hot water temperature in both bathrooms.
(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. (1) Disinfectants, cleaning solutio…
Based on observation, the licensee did not comply with the section cited above as cleaning substances were found in unlocked cabinets, which poses an immediate health, safety, or personal rights risk to persons in care. POC Due Date: 01/30/2026 Plan of Correction 1 2 3 4 Fixed on site. Cabinets were locked and cleaning supplies were removed from unlocked cabinets.
(b) The reappraisal shall document significant changes in the resident's physical, mental, cognitive, behavioral, or functional condition, including those required to be documented as specified in Section 87466, Observation of the Resident.
Based on record review, the licensee did not comply with the section cited above as no residents had an updated Appraisal Needs And Services form, which poses/posed a potential health, safety, or personal rights risk to persons in care. POC Due Date: 02/06/2026 Plan of Correction 1 2 3 4 On or before plan of correction due date, licensee will send PDF copies of updated Appraisal Needs And Service forms for all four residents.
InspectionJanuary 27, 2024Type A2 deficiencies
Inspector: Kelly Nguyen
Inspector notes
On this day, January 7, 2025, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct an annual required inspection. LPA met with licensee-administrator, Precilla San Miguel, licensee-administrator and explained the purpose of the visit. LPA toured the facility inside out with Precilla. LPA inspected the kitchen, dining area, activity/game room, bedrooms, bathrooms, side and backyards. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Facility has smoke and carbon monoxide detectors that were tested and observed functional. Hot water temperature in one of the bathrooms was tested and measured at 118 degrees Fahrenheit. Fire Drill last conducted 2/20/24. Fire Extinguisher observed fully charge dated 1/30/24. LPA reviewed 3 staff and 5 residents records and interviewed 2 staff and 4 residents. 3 out of 3 staff have CPR and TB on files. Medications were checked and compared with doctor's orders and LIC622 Centrally Stored and Medication Records. Facility does not handle residents' cash resources. LPA observed the following: -at 10:11 a.m. central storage for medications unlocked. -at 10:40 a.m. residents' medications in unlocked kitchen cabinet. -at 10:44 a.m. unlocked refrigerator with residents' medications. -at 10:50 a.m. observed knife in a cabinet unlocked. ..continued on 809C 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 ..continued on 809C -at 10:53 a.m. peritoneal cleanser in one of the resident's bedrooms. -at 11:01 a.m. razor and ointment in the common bathroom. Administrator to submit the following updated/current documents by February 28, 2025: 1. LIC308 Designation of Facility Responsibility 2. LIC500 Personnel Report 3. LIC610E Emergency Disaster Plan (9 pages) 4. $3M Liability Insurance certificate 5. R2 sign documents The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. *An immediate $250.00 civil penalty will be assessed on today's date for reported violation within 12month. * Exit interview conducted. A copy of the LIC421FC, this report and appeal rights provided.
(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage.
Based on observation , the licensee did not comply with the section cited above in knife in a cabinet unlocked, razor and chemical left in the resident bathroom, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 01/07/2025 Plan of Correction 1 2 3 4 Staff locked knive, razor, and lock chemical during inspection. Defiency Clear.
(h) The following requirements shall apply to medications which are centrally stored:
Based on observation central storage for medications unlocked, residents' medications in unlocked kitchen cabinet, and unlocked refrigerator with residents' medications the licensee did not comply with the section cited above, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 01/07/2025 Plan of Correction 1 2 3 4 Staff locked medication cabinet, and lock medication in the refrigerator during inspection. Defiency Clear.
InspectionJanuary 20, 2023Type A13 deficiencies
Inspector: Alicia Delmundo
Inspector notes
On this day, January 27, 2024, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with staff, Marta Dacuma, and informed the reason for visit. LPA called and spoke over the phone with Precilla San Miguel, licensee-administrator, who authorized Marta Dacume to with LPA in touring the facility. Administrator arrived at 11:30 a.m. Facility has not submitted the LIC9282 Infection Control Plan. LPA toured the facility inside out with Marta Dacuma. LPA inspected the kitchen, dining area, activity/game room, bedrooms, bathrooms, side and backyards. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Facility has smoke and carbon monoxide detectors that were tested, and observed functional. Hot water temperature in one of the bathrooms was tested and measured at 113 degrees Fahrenheit. LPA reviewed 3 staff and 5 residents records, and interviewed 2 staff and 2 residents. Medications were checked and compared with doctor's orders and LIC622 Centrally Stored and Medication Records. Facility does not handle residents' cash resources. LPA observed the following: -at 10:38 a.m.,central storage for medications unlocked. -at 10:40 a.m., residents' medications in unlocked kitchen cabinet. -at 10:44 a.m., unlocked refrigerator with residents' medications and staff medications/vitamin supplements in unlocked staff bedroom. ..continued on 809C 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 -at 10:53 .a.m., peritoneal cleanser in one of the resident's bedrooms. -at 11:01 a.m., razor and ointment in the common bathroom. -at 12:55 p.m., LPA checked and verified, and administrator stated they conduct drills 2 or 3x/year; however last recorded drill showed conducted 11/10/21. -at 2;00 p.m., S3 is fingerprinted and cleared but not associated to this facility. -at 2:30 p.m., S2 and S3 do not have LIC503 Health Screening on file. -at 2:45 p.m., S3 has not completed the required 40 hours of training. -at 3:00 p,m,, facility does not have internet service. -at 4:00 p.m, residents (R1, R2 & R3) LIC602A Physician's Report over a year old -at 4:15 p.m., residents' (R1, R2 & R3) LIC625 Appraisal/Needs and Services Plan over a year old. -at 5:00 p.m., R2's medications do not have doctor's order on file. -at 5:10 p.m., R2's two medications not properly recorded on LIC622 Administrator to submit the following updated/current documents by February 10, 2024: 1. LIC308 Designation of Facility Responsibility 2. LIC500 Personnel Report 3. LIC610E Emergency Disaster Plan (9 pages) 4. $3M Liability Insurance certificate 5. LIC9282 Infection Control Plan Deficiencies are cited from Title 22 California Code of Regulations, and listed on 809Ds. Failure to submit proof of corrections by plan of correction due dates, and any repeat violation within 12 month period may result in civil penalties. Deficiencies and plan and proof of corrections were discussed with the administrator. Administrator has to leave, and authorized Marta Dacuma to sign and receive this report. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.
(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients.
Based on observation, the licensee did not comply with the section cited above for peritoneal cleanser in one of the resident's bedrooms and razor and ointment in the common bathroom, and staff bedroom with vitamins/sipplements unlocked which pose an immediate health, safety and/or personal rights risk to persons in care. POC Due Date: 01/28/2024 Plan of Correction 1 2 3 4 Staff locked the items. In addition, administrator to in-service the staff and submit copy of training topic with atten…
(h) The following requirements shall apply to medications which are centrally stored: (1) Medications shall be centrally stored under the following circumstances: (C) Because of potential dangers related to the medication itself, or due to physical arrangements in the facility and the condition or the habits of other persons in the facility, the …
Based on observation, the licensee did not comply with the section cited above for the following which pose immediate health and/or personal rights risks to persons in care: refrigeratorr in staff room where resident's medication are kept was unlocked; unlocked kitchen cabinet where other residents medication are kept POC Due Date: 01/29/2024 Plan of Correction 1 2 3 4 Staff locked the room and cabinet. In addition, administrator to in-service the staff and submit copy of training topic with…
(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.
Based on observation, the licensee did not comply with the section cited above for unlocked central storage for medications which pose an immediate health, safety and/or personal rights risk to persons in care. POC Due Date: 01/28/2024 Plan of Correction 1 2 3 4 Staff locked the storage. In addition, administrator to in-service the staff and submit copy of training topic with attendees signatures by 1/28/24.
(e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician on a prescription blank, maintained in the resident's file, and a label on the medication. Both the physician's order and the label shall contain at least all of the following informa…
Based on record review, the licensee did not comply with the section cited above in resident (R2) has 8 medications with no doctor's order on file.which poses an immediate health and/or personal rights risk to persons in care. POC Due Date: 01/28/2024 Plan of Correction 1 2 3 4 Administrator stated she'll obtain doctor's order. Copy to be submitted by 1/28/24.
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or
Based on interview and record review, the licensee did not comply with the section cited above for S3 not associated to the facility which poses a potential safety and/or personal rights risk to persons in care. POC Due Date: 02/10/2024 Plan of Correction 1 2 3 4 Administrator to have the staff associated and submit proof by 2/10/24.
(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivisi…
Based on interview and record review)], the licensee did not comply with the section cited above for staff (S2) not having the required 20 hours annual training on file which poses a potential health, safety and/or personal rights risk to persons in care. POC Due Date: 02/10/2024 Plan of Correction 1 2 3 4 Administrator to have the staff complete the required training and submit proof by 2/10//24.
(a) A licensee of a facility that has internet service shall provide at least one internet access device, such as a computer, smart phone, tablet, or other device, that can support real-time interactive applications, is equipped with videoconferencing technology, including microphone and camera functions, and is dedicated for resident use.
Based on interview, the licensee did not comply with the section cited above for not having internet service poses a potential personal rights risk to persons in care. POC Due Date: 02/10/2024 Plan of Correction 1 2 3 4 Administrator stated she'll have internet service. Proof to be submitted by 2/10/24.
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill,…
Based on interview and reord review, the licensee did not comply with the section cited above for not conducting disaster drills as required which poses/posed a potential safety risk to persons in care. POC Due Date: 02/10/2024 Plan of Correction 1 2 3 4 Administrator stated she'll have drills conducted. Proof to be submitted by 2/10/24.
(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (6) Appraisals are conducted on an ongoing basis pursuant to Section 87463, Reappraisals.
Based on interview and recorda review, the licensee did not comply with the section cited above in residents' (R1, R2 & R3) LIC625 over a year old. which pose a potential health and/or personal rights risk to persons in care. POC Due Date: 02/10/2024 Plan of Correction 1 2 3 4 Administrator stated she'll complete the appraisal. Self-certification to be submitted by 2/10/24.
Based on interview and record review, the licensee did not comply with the section cited above in residents (R1,R2, & R3) LIC602A over a year old .which pose a potential health and/or personal rights risk to persons in care POC Due Date: 02/10/2024 Plan of Correction 1 2 3 4 Administrator to have doctor's appointment scheduled and update the LIC602As. Self-certification to be submitted by 2/10/24.
87411 Personnel Requirements - General (f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) m…
Based on records review, the licensee did not comply with the section cited above in S2 and S3 not having LIC503 Health Screening on file which poses a potential health risk to persons in care. POC Due Date: 02/10/2024 Plan of Correction 1 2 3 4 Administrator to have the staff health screened and submiit copies of LIC503s by 2/10/24.
§1569.625 Staff training; legislative findings; contents (b) (1) The department shall adopt regulations to require staff members of residential care facilities for the elderly who assist residents with personal activities of daily living to receive appropriate training. This training shall consist of 40 hours of training. A staff member shall compl…
Based on record review, the licensee did not comply with the section cited above for S3 not having the required hours of training completed which poses a potential health, safety and/or personal rights risk to persons in care. POC Due Date: 02/10/2024 Plan of Correction 1 2 3 4 Admimistrstor stated she'll have the training completed. Self-certification to be submitted by 2/10/24.
87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff.
Based on record review, the licensee did not comply with the section cited above for R2's medications not properly records on LIC622 which poses a potentiial personal rights risk to persons in care POC Due Date: 02/10/2024 Plan of Correction 1 2 3 4 Administrator to have the LIC622 corrected and submit self-certification by 2/10/24.
InspectionApril 21, 2022No deficiencies
Inspector: Liridon Fici
Inspector notes
On 1/20/2023, at 11:25 AM, Licensing Program Analyst (LPA) L. Fici arrived unannounced to conduct an Infection Control Inspection. LPA met with Lorraine Roma, Caregiver and explained the purpose of the visit. Licensee, Precilla San Miguel arrived at 11:51 AM. Upon entry, LPA's temperature was checked. LPA observed screening station outside on porch that contained hand sanitizer and COVID signage. LPA toured facility including but not limited to common areas, bathrooms, bedrooms, kitchen, garage and backyard. LPA observed cough etiquette and physical distancing posted in the common areas. All hand washing stations were equipped with soap and paper towel. Hot water temperature in the shared residents’ bathroom was measured at 109.7 Degree Fahrenheit. Fire extinguisher was last serviced on 11/22/2022. During record review, LPA observed visitors log and temperature log for both residents and staff. LPA observed facility has a copy of Mitigation Plan on file. LPA observed PPE and paper supplies are sufficient. The following forms to be updated and submitted to CCLD by 1/27/2023 : -LIC500 Personnel Report -LIC308 Designation of Administrative Responsibility Continue on LIC809C 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Continued from LIC809 -LIC610E Emergency Disaster Plan -LIC9282 Infection Control Plan There were no deficiencies observed during visit. Exit interview conducted and a copy of this report provided.
ComplaintMay 27, 2021No deficiencies
Inspector: Laura Hall
Inspector notes
On 4/21/2022 at 1:15PM, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct an Infection Control Inspection. LPA met with Lorraine Roma, Caregiver and explained the purpose of the visit. Administrator, Restituto Sabadera arrived at 2:25PM. Upon entry, LPA's temperature was checked. LPA observed screening station outside on porch that contained hand sanitizer and COVID signage. LPA toured facility including but not limited to common areas, bathrooms, bedrooms, kitchen, garage and backyard. LPA observed cough etiquette and physical distancing posted in the common areas. All hand washing stations were equipped with soap and paper towel. Hot water temperature in the shared clients’ bathroom was measured at 113.7 degree Fahrenheit. During record review, LPA observed visitors log and temperature log for both residents and staff. LPA observed facility has a copy of Mitigation Plan on file. LPA observed PPE and paper supplies are sufficient. The following forms to be updated and submitted to CCLD by 4/28/2022 : -LIC500 Personnel Report -LIC308 Designation of Administrative Responsibility Continued on LIC9099C 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Continued from LIC9099. -LIC610E Emergency Disaster Plan -An updated copy of Administrator certificate There were no deficiencies observed during visit. Exit interview conducted and a copy of this report provided.
Federal summary
CMS Care CompareNot a CMS-certified facility
California RCFEs (residential care facilities for the elderly) are licensed by the state, not by CMS. CMS data only applies to skilled nursing facilities or to CCRCs that operate a licensed SNF wing.
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